Evening. This week we will be doing some short cases based around some pictures. Each case will last around 24-36 hours, so get in quick! As always – the information is posted here and the discussion will be on Twitter. Follow @teamhaem and when you want to make a comment reply to us and also use #teamhaem so everyone else can follow the proceedings. We’re really keen to get a mix of people contributing.

This blood film was taken from a 59 year old from the acute medical admissions ward with “GP admission” as the clinical details. Other results show:

WCC 15.9×10*9/L

Hb 109g/L

PLT 189×10*9/L

MCV 87fL

Questions:

Describe the film

What is going on?

What will you advise the team?

Please reply on Twitter and always include #teamhaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to evolve over the coming week so keep checking #teamhaem for more information.